Form 4 20 Rule 4 34 - CVL The Insolvency Act 1986 Statement of Company's Affairs Pursuant to section 95/99 of the Insolvency Act 1986 For Official Use To the Registrar of Companies Gompany Number 08739157 1 Name of Company Blue Note Leeds Limited Lo te / Steven George Hodgson John Paul Sugden Devonshire House Devonshire House 32/34 North Parade 32/34 North Parade Bradford Bradford BD1 3HZ BD1 3HZ the liquidator(s) of the above named company attach a statement of the company affairs as at 08 May 2015 . SG HoOdGSon Signed Date 08 May 2015 Auker Rhodes Limited For Official Use Devonshire House 32/34 North Parade Insolvency Section Post Room Bradford BD1 3HZ Ref BLUENOTE/sh/JPS/DH Software Suppled by Turnkey Computer Technology Limited Glasgow | A3t UN 13/08/2015 COMPANIES HOUSE #176 R Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of Blue Note Leeds Limited Qn. on the 8 May 2015 the Wa the resolution for winding up Statement of truth \ believe that the facts stated in this Statement of Affairs are true Full Name TOM) PENTON LAK ENCE EE snes HR Dated WA = Oo HAMM A “A47BVoME* 13/05/2015 COMPANIES HOUSE #191 Blue Note Leeds Limited Statement Of Affairs as at 8 May 2015 A- Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge: Assets subject to floating charge: Uncharged assets: Equipment, Furniture, Fittings & Stock Uncertain Uncertain Estimated total assets available for preferential creditors NIL Cp L Signature By aS Date S IGL1S : Blue Note Leeds Limited Statement Of Affairs as at 8 May 2015 Ai - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferentiai creditors (Carried from Page A) NIL Liabilities Preferential Creditors - Employees (wage arrears/holiday pay) 19,976 00 19,976 00 Estimated deficiency/surplus as regards preferential creditors (19,976 00) Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL (19,976 00) Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders (19,976 00) Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges (19,976 00) Estimated prescribed part of net property where applicable (brought down) NiL Total assets available to unsecured creditors (19,976 00) Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Employee Claim (wages) 4,669 00 Employee Claims (Lieu of Notice) 4,994 00 H M Revenue & Customs (VAT) 15,624 00 H M Revenue & Customs (PAYE/NIC) 17,101 00 Deposit Creditors 3,520 00 Trade & Expense Creditors 195,277 00 Director's Loan Account 302,008 00 543,193 00 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F.C's post 14 September 2003) (563,169 00) Estimated deficiency/surplus as regards creditors {563,169 00) Issued and called up capital é Ordinary Shareholders / 10 00 10 00 Estimated total deficiency/surplus as regards members / (563,179 00) Signature Ore nate 8 VOUS / O10Z 48A 10S Sdl €30 1 e6eg sifsfe Y) 00 00¢'p YO 6ST ‘spsa7 ‘sue7 JORYa]Uod ‘|| Wun paywir] SAAT 0019 00 oSe'L ZHE Lg ‘puoypeig ‘apeled YON pE/ZE ‘OSNOH asysuoAeQ O/9 paywr] ysl] Spee) z019 GO OL6'6L ure ZS7 ‘spae7 ‘09 xog Od yaunog AID Spee O19 bO Lee'h G32 ZS1 ‘spee7 ‘SIED SUL IEMA B04) ALD ¢ Peay] SUlAA Spnyyey £019 vb Z88'E} XVZ 1S ‘spse7 ‘ajeBjsany ‘Julog ajebysany ‘sucyojog uaueA g pyo4 oo —_uOISIAIg Buje sjian ef py] yBn0d N 8d 7 OOND 000 NSS 927S1 ‘spse7 ‘Aaisie4 ‘3883S UMOL | ON paw] SWiayshs AuNnoag AasBury felepy se) vl 2ee's9 DVB SHA ‘Uo}sbuiary ‘peoy Wed 19eq ‘JUlog JSub4 pew] WN wexeulaH LOHD oS S22'2e ZZL 864N ‘aUA, Uodn syseoMaN ‘uojUaqbuC7 ‘MaIA Wed UOJUa 'ZOZE dd WY ‘NHI SWOJSND 2B SNUSASY WH 00HD 09 €zZ Od0 PLNG ‘91009 Jaeng uley ‘asnoy uUWUeY payuury] Auedwoy Suimaig y998H yealD L099 00 000'S Lae SST ‘spae7 ‘eueT JayrAAA ‘a}e}S3 |euysnpuj eueT JUAN ‘9 2S HUN Pay] SedlMas Burpjing sajqep 0099 00 Z€0'L VYOE SMS ‘UOpucy ‘peo |OMWOID 62-277 payuur] Pay poo 0049 92 LG2 MdZ 7g ‘Psojpeig JaHeW aesajouA S,SewWeP js ‘Gg-Eg sup BdIOYD ISJI4 4049 00 SLL‘? 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